Individual
MR. RYAN PATRICK ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
62 BOOM LN, BRICK, NJ 08723-6767
(732) 267-9732
Mailing address
62 BOOM LN, BRICK, NJ 08723-6767
(732) 267-9732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002740-1
NY
Other
Enumeration date
11/17/2015
Last updated
11/09/2016
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